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[Safe MRI examinations in patients with pacemakers and ICD]

D Beitzke1

  • 1Universitätsklinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. dietrich.beitzke@meduniwien.ac.at.

Der Radiologe
|July 6, 2019
PubMed
Abstract

Insights

Magnetic Resonance Imaging (MRI) is safe for patients with pacemakers and implantable cardioverter-defibrillator (ICD) systems under specific conditions. This allows for necessary MRI scans in patients with these cardiac devices.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Medical Device Engineering

Background:

  • Patients with cardiac pacemakers and implantable cardioverter-defibrillator (ICD) systems require specialized precautions for safe examination.
  • Interactions between cardiovascular implantable electronic devices (CIEDs) and MRI systems pose potential risks.

Purpose of the Study:

  • To determine the safety of Magnetic Resonance Imaging (MRI) examinations for patients with pacemakers and ICDs.
  • To review current evidence and guidelines for performing MRI in this patient population.

Main Methods:

  • A comprehensive review of existing literature on pacemaker-MRI interactions.
  • Analysis of published evidence regarding the safety and efficacy of MRI in patients with CIEDs.
  • Description of protocols for safe MRI procedures in patients with implanted cardiac devices.

Main Results:

  • MRI in patients with pacemakers and ICDs is feasible and safe when specific conditions and protocols are met.
  • Evidence supports the safety of MRI under controlled circumstances for indicated patients.
  • Careful patient selection and device management are crucial for minimizing risks.

Conclusions:

  • MRI examinations can be safely performed in patients with cardiac pacemakers and ICD systems.
  • These procedures should be made available to patients with a clear medical indication for MRI.
  • Adherence to safety guidelines ensures patient well-being during MRI.
Keywords:
Heart diseasesImplantable cardioverter-defibrillatorsInteractionsMagnetic resonance imagingMonitoring

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